Get Lna Application For License By Endorsement - New Hampshire ...

Filling out the LNA Application for License by Endorsement in New Hampshire is a crucial step for individuals seeking to practice as licensed nursing assistants in the state. This guide provides clear, step-by-step instructions to ensure a smooth application process.

Follow the steps to complete your application efficiently.

1. Click ‘Get Form’ button to retrieve the form and open it in your preferred document editor.
2. Begin by entering your personal information, including your full name (last, first, and middle), and any other names you may have used. Fill in your home address, phone number, email, date of birth, and social security number, ensuring each field is completed accurately.
3. Answer questions regarding any disciplinary actions against your nursing assistant license and disclose any relevant health issues or criminal history. If applicable, provide a letter of explanation for any affirmative answers.
4. Provide details about your nursing or nursing assistant program, including the name of the program and the date of completion. Indicate if you have taken a competency test in the last two years.
5. Complete the Contact Hour Documentation form by listing all continuing education courses completed in the last two years. Ensure that the total hours sum up to at least 24.
6. Attach a copy of your out-of-state nursing assistant license and any necessary verification forms for out-of-state licenses. Ensure all required documentation is included.
7. Prepare your payment of $35.00, making the check or money order payable to the Treasurer, State of New Hampshire. Keep in mind that all fees are non-refundable.
8. Review the completed application for completeness, ensuring that all sections are filled out and required documents are attached.
9. Save the completed application and make a copy for your records. You may also choose to print it if necessary.
10. Submit your application as directed, ensuring it is received by the Board within the stipulated timeframe. Check the submission methods available for your application.

Start your online application process today and take the first step towards becoming a licensed nursing assistant in New Hampshire.